IVINSON MEMORIAL HOSPITAL NPI 1336289552

NPI Information

NPI: 1336289552
Provider Name: IVINSON MEMORIAL HOSPITAL
Classification: General Acute Care Hospital - 282NR1301X
Entity Type: Organization

Specialization: Rural

CLIA Number: 53D0931099

Address:
255 N 30TH ST
LARAMIE, WY
ZIP 82072
Phone: (307) 742-2142
Get Directions

IVINSON MEMORIAL HOSPITAL is a rural general acute care hospital in Laramie, WY. IVINSON MEMORIAL HOSPITAL NPI is 1336289552. The provider is registered as an organization entity type.

The provider's business location address is:

255 N 30TH ST
LARAMIE, WY
ZIP 82072-140
Phone: (307) 742-2142
Fax: (307) 742-0678

The provider's authorized official is James Bands .
The authorized official title is Cfo and has the following contact phone number (307) 755-4603.

The CLIA number assigned to this NPI record is 53D0931099 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	282NR1301X	General Acute Care Hospital	Rural	07108	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	836000188	OTHER	WYOMING	CHAMPUS
2	107332002	MEDICAID	WYOMING
3	95682704	MEDICAID	COLORADO
4	107332000	MEDICAID	WYOMING
5	836000188	OTHER	WYOMING	GREAT WEST - WYOMING
6	836000188	OTHER	WYOMING	UNITED HEALTHCARE
7	W4251905	OTHER	WYOMING	PTAN FOR PART B
8	107332001	MEDICAID	WYOMING
9	00710001	OTHER	WYOMING	BCBS PROFESSIONAL
10	107332008	MEDICAID	WYOMING
11	007153	OTHER	WYOMING	BCBS - INSTITUTIONAL
12	107332003	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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